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«BY-LAW ARTICLE III Sports Medicine Sect. 1: Medical Coverage at Athletic Events The importance of the long-range safety of high school athletes ...»

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Sports Medicine

Sect. 1: Medical Coverage at Athletic Events

The importance of the long-range safety of high school athletes cannot be overstated. Consequently, the

NHIAA and its member schools will favor medical safety over any other countervailing concerns including

competitive advantage. Every high school in New Hampshire must make provisions for licensed medical

personnel at all practices and contests. The types of provisions that are acceptable are (the provisions are in

alphabetical order, not preferential order):

1. Athletic Trainer

2. Board Certified Sports Physical Therapist

3. Emergency Medical Technician

4. Nurse

5. Nurse Practitioner

6. Physician

7. Physician Assistant

8. Systems developed to call medical personnel to the site of the athletic event At the athletic competitions where medical coverage is either provided or mandated by the NHIAA, injuries sustained by athletes will be evaluated by the designated medical personnel. The clearance to re-enter competition after an injury will be made by the designated medical personnel only. Absent unanimous agreement between the designated medical personnel to allow continued participation, an injured player will not be allowed to return to the game. Their decision is final and cannot be overturned by the coach, coaching staff, parents/guardians, or any non-designated personnel.

When the NHIAA provides qualified medical personnel and member schools also provide qualified medical personnel, it is expressly understood that the NHIAA provider shall defer to the school designated qualified medical personnel if requested. If the member school does not provide qualified medical personnel or if no deferral is requested, the NHIAA provider will act as the designated medical personnel. In choosing who should act as the designated medical personnel, all medical personnel are expected to act in the best interests of the student athletes and participate to the extent that his or her expertise will increase the quality of the care delivered. Prior to the start of the event the NHIAA assigned medical personnel, in conjunction with the designated site manager, should review this requirement and determine the procedures/chain of command to be identified during the event to ensure compliance with the provisions stated in this By-Law.

Note: Student trainers, high school or college, cannot be used to meet the provisions of this By-Law.

Sect. 2: Medical Statement A. Students shall be ineligible to participate in interscholastic athletics (practices or games) unless there is on file in the school a medical statement provided by a physician, nurse practitioner, or physician’s assistant (within the meaning of NH RSA 329) certifying the student athlete has passed a preparticipation physical examination prior to the beginning of the student athlete’s high school athletic career. In every subsequent year, athletes shall have an updated medical history. A physical examination pertinent to their needs shall be performed, if deemed necessary. Any student athlete significantly ill or injured since the last review shall be re-examined by a physician, nurse practitioner, or physician’s assistant in order to be eligible to participate in interscholastic athletics.

B. A medical statement must be completed by a physician, ARNP or by a qualified non-physician health practitioner under the direct supervision of a physician (within the meaning of NH RSA 329).

C. A family may apply to the NHIAA Executive Director through the school administration for a waiver of this By-Law based on religious reasons. Prior to approving such requests, the parent and/or legal guardian must sign the NHIAA waiver form which holds the NHIAA harmless for any medical problems that arise.

D. Local school districts may impose requirements that exceed the provisions of this By-Law.

Sect. 3: Absence of or Disease of One Paired Organ No student athlete with the absence of one paired organ shall participate in inter-scholastic athletics unless the student athlete provides his/her principal with completion of a medical release completed by a physician, ARNP or by a qualified non-physician health practitioner. The student athlete is required to wear the protective equipment recommended by the medical specialist for all practices and games. It is required that copies of all materials be filed with the NHIAA.

Sect. 4: Use of Artificial Limbs The NHIAA authorizes the use of artificial limbs which in its opinion are no more dangerous to players than the corresponding human limb and do not place an opponent at a disadvantage. The authority to determine such rule lies with the Executive Director and the National Federation Rules Interpreter for that sport. All requests for rulings must be submitted in writing by the principal of the member school.

Sect. 5: Policy Statement and School Recommendations Regarding Transgender Participation Privacy Policy (POLICY UNDER REVIEW) (CM 5.2016) All discussions and documentation in each level of the process either by a member school and or NHIAA shall be kept confidential.

A. Procedures:

The student’s member school will be the first point of contact for determining the student’s eligibility to participate in NHIAA sanctioned event(s). The student and parent(s)/guardian must notify the school in writing at least two months prior to the season they intend to participate in athletics that the student has a consistent gender identity different than the gender of the student’s birth certificate and list the sport(s) in which the student would like to participate.

Once the member school has rendered a decision, the school principal shall communicate with the NHIAA office in writing of the decision prior to the team’s first game. The school shall list the student’s classified gender and sanctioned sport(s) in which the student-athlete would like the opportunity to participate if he/she is selected through the team try-out process.

For the purposes of this policy, the following definitions will apply:

1. The term “transgender” means having a gender identity or gender expression that differs from societal expectations based on gender assigned at birth.

2. The term “gender identity” means an innate sense of one’s own gender.

3. The term “gender expression” means external appearance, characteristics or behaviors typically associated with a specific gender.

B. Appeals:

Appeals of the school’s decision may be made by another member school. This appeal must be made in writing to the NHIAA. The NHIAA will not consider any appeals from outside organizations, nonmember schools, or individuals.

An appeal under this policy shall be submitted in writing to the NHIAA Executive Director.

The NHIAA will conduct a confidential review of the case in accordance with the procedures provided herein. A hearing will be scheduled by the NHIAA before an Equity Appeals Panel. The Panel will be comprised of a minimum of three of the following persons selected by the NHIAA, one of whom must

be from the physician or mental health professional category:

1. A physician with experience in gender identity health care.

2. A psychiatrist, psychologist, or licensed mental health professional familiar with transgender health.

3. A school administrator representative of the student’s division who is not from the appealing school.

4. Representative(s) from the NHIAA staff

5. An advocate familiar with gender identity and expression issues.

The student-athlete with parent/guardian and/or appealing school will have the opportunity to address the panel and present evidence in writing and/or by testimony at the hearing. Any party may be represented by an attorney at his/her its own expense. If the NHIAA, Panel, or a party requests in writing at least three days in advance, a transcript of the hearing will be prepared at the expense of the requesting party.

C. Documentation:

The member school under appeal shall provide the Panel with the following documentation:

1. The student-athlete’s current and historic school registration information.

2. Documentation relevant to the student’s consistent gender identification and/or expression (e.g., written statements from student and/or parent/guardian and/or health care provider)

3. All documentation presented to the student-athlete’s school in support of the request for participation.

4. Any other pertinent documentation or information The Equity Appeals Panel will consider all aspects of the appeal when rendering a decision. The panel will forward their findings to the NHIAA Executive Director. The Executive Director will forward the Panel’s decision to the parties within three days after receipt of the decision.

The Equity Appeals Panel decision may be appealed to the NHIAA Council Appeals board according to By-Law Article V.

Sect. 6: Prohibited Use of Tobacco Products No coach, game official, athletic team member or player of an NHIAA member school shall use or smoke any tobacco product (smokeless or otherwise) at any NHIAA sponsored or sanctioned event in which the coach, game official, team member or player is involved.

Sect. 7: Resolution: Model To Set Standards For Alcohol Or Mood-Altering Chemicals Statement of Philosophy It is the philosophy of the NHIAA and its member schools that students should be encouraged and supported in their efforts to develop and maintain a chemical-free lifestyle.

The NHIAA and its member schools recognize the use of alcohol or mood-altering chemicals as a significant health problem for many students, resulting in negative effects on behavior, learning and the total development of each individual.

The NHIAA and its member schools believe the close contact of coaches, advisors and students in the classroom or activities provides a unique opportunity to observe, confront and assist one another.

Statement of Purpose:

1. Emphasize concerns for the health of students in areas of safety while participating in activities and the long-term physical and emotional effects of chemical use on their health.

2. Promote a sense of order and discipline among students.

3. Confirm and support existing state laws, which restrict the use of alcohol or such mood-altering chemicals.

4. Establish standards of conduct for those students who are leaders and standard-bearers among their peers.

5. Assist students who desire to resist peer pressure, which directs them toward the use of alcohol or moodaltering chemicals.

6. Assist students who should be referred for assistance or evaluation regarding their use of alcohol or mood-altering chemicals.

A Code of Conduct: Recognizing the diversity of its member schools, the NHIAA recommends that a Code

of Conduct incorporate the following:

1. Philosophy: Specify the philosophy and basis for recommending a code of conduct.

2. Purpose for Establishing Rules: State the reasons for setting standards and the educational rationale for assisting students through such standards.

3. Defining the Rule: Incorporate alcohol or the mood-altering chemicals to be included; the time during which the students are responsible for the rules.

4. Specifying the Consequences for Violations of the Rule: Define the activities for which the student is ineligible, the length of time and events, which apply to each violation and the responsibilities of the student during those periods.

5. Develop the Procedures for Due Process: Specify the procedures by which the school officials will investigate reported violations of the rules and apply the consequences for confirmed violations.

6. A Code of Conduct would define the time during which the rule is in effect, include the parameters of use, possession, intent to buy or sell, transmit, etc., and the consequences of a violation.

Sample Rule for a Model Code of Conduct: A sample of a rule, which incorporates the standards, cited

above could read:

“Regardless of the quantity, a student shall not: 1) use a beverage containing alcohol, 2) use tobacco; or 3) use or consume, have in possession, buy, sell or give away any other controlled substance.” Sample of Consequences for Violations of the Rule: Consequences for rule violations should incorporate

the following standards:

1. A Standard of Certainty: An expectation by those to be affected by the rule that it will be applied with a measure of consistency and uniformity to all involved.

2. A Standard of Severity: An expectation that the consequences for the violation are fair for the act committed and that those affected will be encouraged to follow through with the consequences, including coaches, students, and parents.

3. A Standard of Promptness: An expectation that the due process will promptly be applied following an alleged violation.

Sect. 8: Medical Appliances When it is necessary for an athlete to wear a medical appliance (such as an insulin pump) during athletic competitions, the device shall be padded and securely attached to the player’s body underneath the uniform.

Devices attached to the head (such as hearing aids and cochlear implants) do not need to be padded, but firmly secured to the body. No medical appliance should pose a risk of injury to others. It is recommended that the athlete notify the official of the presence of the medical appliance prior to a contest.

Sect. 9: Mouth Guards are required in:

 Soccer  Field Hockey  Football  Basketball  Ice Hockey  Lacrosse  Wrestlers with braces *This list does not preclude athletes from wearing mouth guards in other sports.

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